Grundmann T, Schaudig U
Universitäts-Hals-Nasen-Ohren-Klinik Hamburg-Eppendorf.
HNO. 2005 Apr;53(4):346-53. doi: 10.1007/s00106-004-1158-1.
Common reasons for orbital defects are midfacial traumas or defects following tumor resection within the sinu-orbital region. In these cases, reconstruction of the medial or inferior orbital wall often is required. Common materials for orbital reconstruction, such as titanium-mesh, are used where epithelialisation problems are frequently encountered.
Three patients with extended resection of malignomas of the medial and inferior orbit wall were reconstructed with a myofascial transposition flap from the suprabrow region.
Orbital tumor infiltration was present in 11 of the 54 patients treated from 1997 to 2003 for tumors of the nasal region. In three cases, tumor extension to the medial and caudal orbital wall required extensive tissue resection, including the periorbit. In these cases, we created a new horizontal fascial flap from the suprabrow-region which stabilized the bulbus by fixation to the lateral maxilla. Follow-up 12 months after surgery showed good epithelialisation of the reconstructed region without functional deficits.
This previously undescribed fascial suprabrow-flap constitutes a valuable method in the reconstruction of large combined defects of the medial and caudal orbit wall profiting particularly from the autologous material used.
眼眶缺损的常见原因是面中部创伤或鼻窦眼眶区域肿瘤切除后的缺损。在这些情况下，通常需要重建眶内侧壁或眶下壁。眼眶重建常用的材料，如钛网，在使用时经常会遇到上皮化问题。
对3例眶内侧壁和眶下壁恶性肿瘤扩大切除的患者，采用眉上区肌筋膜转位皮瓣进行重建。
1997年至2003年治疗的54例鼻部肿瘤患者中，有11例存在眼眶肿瘤浸润。在3例病例中，肿瘤延伸至眶内侧壁和眶尾壁需要广泛的组织切除，包括眶周组织。在这些病例中，我们从眉上区制作了一个新的水平筋膜皮瓣，通过固定于上颌骨外侧来稳定眼球。术后12个月的随访显示，重建区域上皮化良好，无功能缺陷。
这种以前未描述过的眉上筋膜皮瓣是重建眶内侧壁和眶尾壁大型联合缺损的一种有价值的方法，尤其受益于所使用的自体材料。
